Event Notification Report for August 30, 1999
U.S. Nuclear Regulatory Commission
Operations Center
Event Reports For
08/27/1999 - 08/30/1999
** EVENT NUMBERS **
35790 36018 36076 36078 36079 36080 36081 36082 36083 36084 36085 36086
36087
+------------------------------------------------------------------------------+
|Fuel Cycle Facility |Event Number: 35790 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PADUCAH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 06/03/1999|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 14:44[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 06/02/1999|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:30[CDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 08/29/1999|
| CITY: PADUCAH REGION: 3 +-----------------------------+
| COUNTY: McCRACKEN STATE: KY |PERSON ORGANIZATION |
|LICENSE#: GDP-1 AGREEMENT: Y |DAVID HILLS R3 |
| DOCKET: 0707001 |DON COOL NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: THOMAS WHITE | |
| HQ OPS OFFICER: FANGIE JONES | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|OCBA 76.120(c)(2)(i) ACCID MT EQUIP FAILS | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| THREE SPRINKLER SYSTEMS DECLARED INOPERABLE DUE TO CORRODED HEADS (24-hour |
| report) |
| |
| The following text is a portion of a facsimile received from Paducah: |
| |
| "On 06/02/99 at 1630 CDT, the Plant Shift Superintendent (PSS) was notified |
| that numerous sprinkler heads were corroded, affecting 16 sprinkler systems |
| in C-337 and one system in C-333, such that the ability of the sprinklers to |
| flow sufficient water was called into question. Subsequently, these |
| sprinkler systems were declared inoperable, and TSR-required actions |
| establishing roving fire patrols were initiated. This deficiency was |
| detected during scheduled system inspections conducted by Fire Protection |
| personnel. Currently, functionality of the sprinkler heads has not been |
| fully evaluated by Fire Protection personnel, and the remaining cascade |
| buildings are currently being inspected, and if necessary, this report will |
| be updated to identify any additional areas. |
| |
| "It has been determined that this event is reportable under |
| 10CFR76.120(c)(2) as an event in which equipment is disabled or fails to |
| function as designed." |
| |
| The NRC resident inspector has been notified of this event. |
| |
| |
| * * * UPDATE AT 1022 ON 06/04/99 FROM CAGE TO TROCINE * * * |
| |
| "Two sprinkler heads on system D-1 in C-337 and two sprinkler heads on |
| system 27 in C-335 were identified to also be corroded. These were |
| identified to the PSS on 06/03/99 at 1600 CDT and 1601 CDT, respectively, |
| and determined to require an update to this report by the PSS. |
| |
| "It has been determined that this event is reportable under |
| 10CFR76.120(c)(2) as an event in which equipment is disabled or fails to |
| function as designed." |
| |
| Paducah personnel notified the NRC resident inspector of this update. The |
| NRC operations officer notified the R3DO (Hills) and NMSS EO (Combs). |
| |
| * * * UPDATE AT 2152 ON 06/17/99 FROM WALKER TO POERTNER * * * |
| |
| "Three sprinkler heads on system C-15 and five sprinkler heads on system B-8 |
| in C-333 were identified to also be corroded. The PSS was notified of this |
| condition at 1300 CDT on 06/17/99 and determined that an update to this |
| report was required." |
| |
| "It has been determined that this event is reportable under |
| 10CFR76.120(c)(2) as an event in which equipment is disabled or fails to |
| function as designed." |
| |
| Paducah personnel notified the NRC resident inspector of this update. The |
| NRC operations officer notified the R3DO (Madera). |
| |
| * * * UPDATE 1440 6/18/1999 FROM UNDERWOOD TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on system C-15 and one sprinkler head on system B-8 in |
| C-333 were identified to have corrosion. The PSS was notified of this |
| condition at 1350 CDT on 06/18/99. The area of the fire patrol for system |
| C-15 was expanded to include the two heads identified as corroded. The one |
| head on system B-8 was in the area already being patrolled. The PSS |
| determined that an update to this report was required." |
| |
| The NRC resident inspector has been informed of this update. Notified R3DO |
| (Madera). |
| |
| * * * UPDATE 1315 6/25/1999 FROM WALKER TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on system D-8 and three sprinkler heads on system D-7 |
| in C-337 were identified to have corrosion. The PSS was notified of the |
| condition on system D-8 at 0125 CDT on 06/25/99 and at 1019 CDT on 06/25/99 |
| for system D-7. Both systems were immediately declared inoperable and LCO |
| fire patrol actions were implemented. It was determined that an update to |
| this report was required." |
| |
| The NRC resident inspector has been informed of this update. Notified R3DO |
| (Jordan). |
| |
| * * * UPDATE 2119 7/30/1999 FROM CAGE TAKEN BY STRANSKY * * * |
| |
| "Five sprinkler heads and one sprinkler piping tee on C-337 system D-7 were |
| identified to have corrosion. The PSS was notified of these corroded system |
| parts and declared the system inoperable at 0931 CDT on 07/30/99. LCO |
| required fire patrols of the affected area were initiated. The PSS |
| determined that an update to this event report was required." |
| |
| The NRC resident inspector has been informed of this update. Notified R3DO |
| (Wright). |
| |
| * * * UPDATE 1655 7/31/1999 FROM WHITE TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on C-337 System D-1 were identified to have corrosion. |
| The PSS was notified of these corroded system parts and declared the system |
| inoperable at 1155 CDT on 7/31/99. LCO required fire patrols of the |
| affected area were initiated. The PSS determined that an update to this |
| report was required." |
| |
| The NRC resident inspector has been informed of this update. Notified R3DO |
| (Wright). |
| |
| * * * UPDATE 1546 8/10/1999 FROM WHITE TAKEN BY STRANSKY * * * |
| |
| "Two sprinkler heads on C-337 system C-15 were identified to have corrosion. |
| The PSS was notified of these corroded system parts and declared the system |
| inoperable at 1130 CDT on 8/10/99. LCO required fire patrols of the |
| affected area were initiated. The PSS determined that an update to this |
| report was required." |
| |
| The NRC resident inspector has been informed of this update. Notified R3DO |
| (Burgess). |
| |
| * * * UPDATE AT 1154 8/22/99 FROM WALKER TO POERTNER * * * |
| |
| Four adjacent sprinkler heads on C-333 System B-1 were identified to have |
| corrosion. The PSS was notified of the corroded system parts and declared |
| the system inoperable at 0918 CDT on 8/22/99. LCO required fire patrols |
| were initiated. The PSS determined that an update to this report was |
| required. |
| |
| It has been determined that this event is reportable under 10CFR76.120(c)(2) |
| as an event in which equipment is disabled or fails to function as |
| designed. |
| |
| The NRC resident inspector will be notified. |
| |
| The NRC operations officer notified the R3DO (Clayton). |
| |
| * * * UPDATE 2015EDT ON 8/28/99 FROM W.F. GAGE TO S. SANDIN * * * |
| |
| The following information was provided as an update to this report: |
| |
| "Two adjacent sprinkler heads on C-337 System D-11 were identified to have |
| corrosion. The PSS was notified of these corroded system parts and declared |
| the system inoperable at 1420 [CDT] on 8/28/99. LCO required fire patrols |
| of the affected area were initiated. The PSS determined that an update to |
| this report was required." |
| |
| Paducah personnel informed the NRC resident inspector. The NRC operations |
| officer notified the R3DO (Leach) and NMSS EO (Piccone). |
| |
| * * * UPDATE 2037EDT ON 8/29/99 FROM KEVIN BEASLEY TO S. SANDIN * * * |
| |
| The following information was provided as an update to this report: |
| |
| "Two adjacent sprinkler heads on C-337 System D-15 were identified to have |
| corrosion and the PSS declared the system inoperable at 0925 [CDT] on |
| 8/29/99. Also two adjacent heads on C-337 System D-10 were identified to |
| have corrosion and the PSS declared the system inoperable at 1450. LCO |
| required fire patrols for both of the affected areas were initiated in the |
| time frame required by TSR. The PSS determined that an update to this |
| report was required." |
| |
| Paducah personnel informed the NRC resident inspector. The NRC operations |
| officer notified the R3DO (Leach) and NMSS EO (Piccone). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Fuel Cycle Facility |Event Number: 36018 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PORTSMOUTH GASEOUS DIFFUSION PLANT |NOTIFICATION DATE: 08/11/1999|
| RXTYPE: URANIUM ENRICHMENT FACILITY |NOTIFICATION TIME: 14:46[EDT]|
| COMMENTS: 2 DEMOCRACY CENTER |EVENT DATE: 08/10/1999|
| 6903 ROCKLEDGE DRIVE |EVENT TIME: 16:00[EDT]|
| BETHESDA, MD 20817 (301)564-3200 |LAST UPDATE DATE: 08/28/1999|
| CITY: PIKETON REGION: 3 +-----------------------------+
| COUNTY: PIKE STATE: OH |PERSON ORGANIZATION |
|LICENSE#: GDP-2 AGREEMENT: N |BRUCE BURGESS R3 |
| DOCKET: 0707002 |JOHN HICKEY NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: JIM McCLEERY | |
| HQ OPS OFFICER: LEIGH TROCINE | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|OCBB 76.120(c)(2)(ii) EQUIP DISABLED/FAILS | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| FAILURE OF 13 HIGH PRESSURE FIRE WATER SPRINKLER SYSTEMS TO MEET SYSTEM |
| OPERABILITY REQUIREMENTS (24-Hour Report) |
| |
| The following text is a portion of a facsimile received from Portsmouth: |
| |
| "On 08/10/99 at approximately 1600 hours, the Plant Shift Superintendent |
| (PSS) was notified that 13 sprinkler systems associated with the High |
| Pressure Fire Water (HPFW) system were not capable of meeting system |
| operability requirements. This condition was discovered as a result of an |
| engineering review of individual sprinkler heads that had previously been |
| identified as exhibiting corrosion around the valve seat. The engineering |
| review was conducted following the discovery that similar corrosion problems |
| experienced at the Paducah Gaseous Diffusion Plant resulted in sprinkler |
| heads being unable to actuate at normal pressure. An initial screening of |
| PORTS sprinkler heads known to exhibit corrosion was conducted, and systems |
| where the potential for two or more adjacent heads to be corroded were |
| inspected. This identified 11 systems in the X-333 and 2 systems in the |
| X-326 that did not meet the sprinkler system operability requirement that no |
| two adjacent sprinkler heads be inoperable." |
| |
| "The PSS declared the affected sprinkler systems inoperable, and TSR |
| required actions were completed. Further inspections of sprinkler systems |
| are planned. This report will be updated if additional sprinkler systems |
| are determined to be inoperable." |
| |
| "There was no loss of hazardous/radioactive material or |
| radioactive/radiological contamination exposure as a result of this |
| event." |
| |
| Portsmouth personnel notified the NRC resident inspector as well as the |
| onsite Department of Energy representative. |
| |
| *** UPDATE ON 8/19/99 AT 2327 FROM HALCOMB TO POERTNER *** |
| |
| During continuing walkdowns, HPFW system #398 was discovered with two or |
| more (3) adjacent sprinkler heads with mineral deposits. This HPFW |
| sprinkler was declared inoperable at 1038 hours and was repaired at 1407 |
| hours. |
| |
| Portsmouth personnel notified the NRC resident inspector. |
| |
| * * * UPDATE 1415EDT ON 8/28/99 FROM JIM McCLEERY TO S. SANDIN * * * |
| |
| The following information was provided as an update to this report: |
| |
| "During continuing walk downs of the HPFW system, systems 194, 196, 197, |
| 211, 212 were found with two or more adjacent sprinkler heads unable to meet |
| system operability. Systems were made inoperable at 1452 on 8/27/99. All |
| sprinklers were repaired and system operability made at 0550 8/26/99." |
| |
| Portsmouth personnel informed the NRC resident inspector. The NRC |
| operations officer notified the R3DO (Leach) and NMSS EO (Piccone). |
+------------------------------------------------------------------------------+
!!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!!
+------------------------------------------------------------------------------+
|Hospital |Event Number: 36076 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: REYNOLDS ARMY COMMUNITY HOSPITAL |NOTIFICATION DATE: 08/26/1999|
|LICENSEE: REYNOLDS ARMY COMMUNITY HOSPITAL |NOTIFICATION TIME: 15:26[EDT]|
| CITY: FT. SILL REGION: 4 |EVENT DATE: 08/26/1999|
| COUNTY: COMANCHE STATE: OK |EVENT TIME: 09:51[CDT]|
|LICENSE#: 35-10202-01 AGREEMENT: N |LAST UPDATE DATE: 08/27/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |PHIL HARRELL R4 |
| |JOSEPHINE PICCONE NMSS |
+------------------------------------------------+ |
| NRC NOTIFIED BY: ANDREA GRINDSTAFF | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|LADM 35.33(a) MED MISADMINISTRATION | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| MEDICAL MISADMINISTRATION INVOLVING DIAGNOSTIC DOSE GIVEN TO INCORRECT |
| PATIENT |
| |
| AT APPROXIMATELY 0951CDT ON 8/26/99, AN 18-MONTH OLD INFANT RECEIVED A |
| SINGLE 1 cc DOSE CONTAINING 1.1 mCi OF TECHNETIUM-99m (MDP) INTENDED FOR |
| ANOTHER PATIENT. THE PRESCRIBING PHYSICIAN AND THE INFANT'S PHYSICIAN WERE |
| BOTH INFORMED. THE INFANT'S FAMILY WAS INFORMED BY THEIR PHYSICIAN. THE |
| HOSPITAL ATTRIBUTES THE MISADMINISTRATION TO AN ADMINISTRATIVE ERROR AND |
| DOES NOT EXPECT ANY ADVERSE HEALTH CONSEQUENCES. |
| |
| (CALL THE NRC OPERATIONS OFFICER FOR A LICENSEE CONTACT ADDRESS AND |
| TELEPHONE NUMBER.) |
| |
| * * * UPDATE AT 1530EDT ON 8/27/99 FROM ANDREA GRINDSTAFF TO S. SANDIN * * |
| * |
| |
| THE LICENSEE IS RETRACTING THIS REPORT AFTER A FURTHER REVIEW AND |
| CALCULATIONS DETERMINED THAT THE DOSE ADMINISTERED DID NOT MEET THE CRITERIA |
| FOR A MISADMINISTRATION. |
| |
| THE NRC OPERATIONS OFFICER NOTIFIED THE R4DO (HARRELL) AND NMSS EO |
| (PICCONE). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36078 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BYRON REGION: 3 |NOTIFICATION DATE: 08/27/1999|
| UNIT: [1] [2] [] STATE: IL |NOTIFICATION TIME: 02:10[EDT]|
| RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 08/26/1999|
+------------------------------------------------+EVENT TIME: 22:30[CDT]|
| NRC NOTIFIED BY: TROY LEAF |LAST UPDATE DATE: 08/27/1999|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |MELVYN LEACH R3 |
|10 CFR SECTION: | |
|DDDD 73.71 UNSPECIFIED PARAGRAPH | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| SAFEGUARDS SYSTEM DEGRADATION RELATED TO POWER SUPPLY FUNCTIONS |
| |
| At 0030 CDT on 08/27/99, it was determined that a security event which |
| occurred at 2230 CDT on 08/26/99 met the reportability requirements of 10 |
| CFR 73.71(b), Part 73, Appendix G, paragraph 1(c). The event involved a |
| safeguards system degradation related to power supply functions. |
| Compensatory measures were taken upon discovery. (Contact the NRC |
| operations officer for additional details and for a site contact telephone |
| number.) |
| |
| The licensee plans to notify the NRC resident inspector. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36079 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: SUSQUEHANNA REGION: 1 |NOTIFICATION DATE: 08/27/1999|
| UNIT: [1] [2] [] STATE: PA |NOTIFICATION TIME: 06:48[EDT]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 08/27/1999|
+------------------------------------------------+EVENT TIME: 06:00[EDT]|
| NRC NOTIFIED BY: DAVE WALSH |LAST UPDATE DATE: 08/27/1999|
| HQ OPS OFFICER: LEIGH TROCINE +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |KATHLEEN MODES R1 |
|10 CFR SECTION: | |
|AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| EMERGENCY SERVICE WATER SYSTEM DEGRADATION (ONLY ONE OF FOUR PUMPS |
| OPERABLE) |
| |
| The following text is a portion of a facsimile received from the licensee: |
| |
| "On 08/26/99, Susquehanna Unit 1 and Unit 2 were operating at 100% power |
| with the 'B' loop of emergency service water [(ESW)] out of service for |
| scheduled maintenance. During testing on the ESW system, with all ESW pumps |
| in service, it was identified that the 'C' and 'D' ESW pumps' discharge |
| check valves were closed. The ESW flow surveillance was performed, and the |
| 'C' and 'D' ESW pumps failed to achieve the required flow and were declared |
| inoperable. Concurrently, the 'B' loop of ESW was returned to service. |
| During the time the 'B' ESW loop was inoperable, the 'A' ESW pump was the |
| only one operable ESW pump. This constitutes a serious degradation of the |
| plant in that it is a condition which is outside of design basis and, |
| therefore, reportable under 10 CFR 50.72(b)(1)(ii) requiring a 1-hour ENS |
| notification." |
| |
| The licensee notified the NRC resident inspector. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36080 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: FT CALHOUN REGION: 4 |NOTIFICATION DATE: 08/27/1999|
| UNIT: [1] [] [] STATE: NE |NOTIFICATION TIME: 14:30[EDT]|
| RXTYPE: [1] CE |EVENT DATE: 08/27/1999|
+------------------------------------------------+EVENT TIME: 12:35[CDT]|
| NRC NOTIFIED BY: MATT POHL |LAST UPDATE DATE: 08/27/1999|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: UNU |PHIL HARRELL R4 |
|10 CFR SECTION: |JIM LYONS NRR |
|AAEC 50.72 (a) (1) (I) EMERGENCY DECLARED |FRANK CONGEL IRO |
| |ERIC WEINSTEIN RCT |
| |JOE DAVIS EPA |
| |BERNICE CARR FEMA |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| LICENSEE DECLARED AN UNUSUAL EVENT DUE TO AN ON-GOING CHEMICAL RELEASE FROM |
| AN OFFSITE CHEMICAL FACILITY. |
| |
| "FT. CALHOUN HAS DECLARED A [NOTIFICATION OF UNUSUAL EVENT (NOUE)] PER |
| [EMERGENCY ACTION LEVEL (EAL)] 11.1 DUE TO AN ON-GOING CHEMICAL RELEASE AT |
| THE CARGILL FACILITY WHICH IS AN OFFSITE PLANT. THE CHEMICAL RELEASE IS A |
| MIXTURE OF SODIUM HYPORCHLORATE AND UREA AMMONIUM NITRATE WHICH WERE |
| INADVERTENTLY COMBINED. SITE PERSONNEL AT FT. CALHOUN ARE NOT AT JEOPARDY |
| AT THIS TIME. HOWEVER, THE POTENTIAL FOR PERSONNEL HAZARD EXISTS IF THE |
| WIND WERE TO CHANGE DIRECTION. CURRENTLY, THERE IS NO IMPACT ON STATION |
| OPERATION." |
| |
| THE CARGILL CHEMICAL FACILITY NOTIFIED FT. CALHOUN OF THE CHEMICAL RELEASE |
| AT 1210CDT, AND THE LICENSEE DECLARED THE NOUE AT 1235CDT. |
| |
| THE CARGILL CHEMICAL FACILITY IS LOCATED APPROXIMATELY 1/2 MILE NORTH OF THE |
| SITE. CURRENT WIND DIRECTION AND SPEED IS SOUTH TO NORTH AT 3 MPH. SEVERAL |
| GASES WERE GENERATED BY AN EXOTHERMIC REACTION INCLUDING CHLORINE. THE |
| QUANTITY OF THE CHEMICAL RELEASE IS UNKNOWN. THE LICENSEE HAS IMPLEMENTED |
| PERIMETER MONITORING WHICH HAS NOT DETECTED ANY ABNORMAL INDICATIONS. LOCAL |
| HAZMAT TEAMS HAVE RESPONDED INCLUDING THE LOCAL FIRE DEPARTMENT. THE |
| LICENSEE IS NOT AWARE OF ANY EVACUATION OR PERIMETERS HAVING BEEN |
| ESTABLISHED. |
| |
| STATE, LOCAL, AND COUNTY ORGANIZATIONS WERE NOTIFIED. THE NRC RESIDENT |
| INSPECTOR WAS ALSO INFORMED. |
| |
| AT 1403CDT ON 8/27/99 DURING AN NRC CONFERENCE CALL, THE LICENSEE TERMINATED |
| THE NOUE AFTER RECEIVING NOTIFICATION THAT THE LEAK HAD BEEN TERMINATED. |
| |
| * * * UPDATE AT 1615EDT ON 8/27/99 BY S.SANDIN * * * |
| |
| ADDITIONAL INFORMATION WAS PROVIDED BY THE ENVIRONMENTAL PROTECTION AGENCY |
| (DAVIS) DURING A FOLLOW-UP BRIEFING. APPROXIMATELY 16,000 LBS OF UREA |
| AMMONIUM NITRATE WAS PUMPED FROM A MISIDENTIFIED RAIL CAR INTO A TANK |
| CONTAINING HYDROCHLORIC ACID. THE RESULTING REACTION PRODUCED "AQUA REGIA" |
| WHICH IS A MIXURE OF CORROSIVE AND TOXIC GASES [SEE NORTH AMERICAN EMERGENCY |
| RESPONSE GUIDE #157]. ACCORDING TO A PLANT ENGINEER AT CARGILL, THE ERROR |
| OCCURRED AT APPROXIMATELY 1000CDT. A PLUME WAS GENERATED BUT HAD MOSTLY |
| DISSIPATED BEFORE CROSSING THE FACILITY BOUNDARY. THE REACTION CONTINUED |
| FOR ABOUT 1 TO 1-1/2 HOURS. FIFTEEN (15) CARGILL EMPLOYEES WERE TAKEN TO |
| LOCAL MEDICAL FACILITIES FOR OBSERVATION ALTHOUGH ONLY THREE (3) WERE |
| ACTUALLY EXPOSED TO THE MATERIAL. ALL FIFTEEN WERE SUBSEQUENTLY RELEASED. |
| BRIEFING PARTICIPANTS INCLUDED THE R4DO (HARRELL), NRR EO (LYONS), IRO |
| (GIITTER), RCT (WEINSTEIN), FT. CALHOUN (POHL), AND EPA REGION VII BRIEFER |
| (DAVIS). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 36081 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: TN DIV OF RADIOLOGICAL HEALTH |NOTIFICATION DATE: 08/27/1999|
|LICENSEE: US ECOLOGY |NOTIFICATION TIME: 15:03[EDT]|
| CITY: REGION: 2 |EVENT DATE: 08/04/1999|
| COUNTY: STATE: TN |EVENT TIME: [EDT]|
|LICENSE#: R-01037-B04 AGREEMENT: Y |LAST UPDATE DATE: 08/27/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |SCOTT SPARKS R2 |
| |JOSEPHINE PICCONE NMSS |
+------------------------------------------------+MELVYN LEACH R3 |
| NRC NOTIFIED BY: DEBRA SHULTS (VIA FAX) | |
| HQ OPS OFFICER: STEVE SANDIN | |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|NAGR AGREEMENT STATE | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| AGREEMENT STATE REPORT INVOLVING RAD LEVEL EXCEEDING STATE LEVELS DURING |
| SHIPMENT |
| |
| "This notification is being sent to you per instructions in the NRC Event |
| Reporting Handbook. This event does not pose a threat to public health and |
| safety but is reportable under 1200-2-5-.16(2)(d) of SRPAR. This incident |
| occurred on August 4, 1999. Please see the attached report for derails |
| involving this event. |
| |
| "This letter is sent concerning the American Ecology Recycle Center d/b/a |
| U.S. Ecology Nuclear Materials Management Center (NMMC) Radioactive Material |
| License R-01037-B04. The NMMC is providing written documentation of the |
| reportable event that was reported to your office via telecom on August 6, |
| 1999. The event involved receipt of a radioactive material shipment with |
| external radiation levels in excess of those reportable under State |
| Regulations for Protection Against Radiation (SRPAR) Section |
| 1200-2-5-.16(2)(d). |
| |
| "Investigation: |
| |
| "The subject event involved the U.S. Ecology Brokerage division truck and |
| driver on-loading a shipment consisting of a source drum at CTL Engineering, |
| Columbus, OH. Receipt surveys performed at the NMMC denoted an on-contact |
| reading of 450 mR per hour (i.e., greater than the reportable 200 mR per |
| hour) at a single point on the bottom of the truck. The location of the |
| reportable radiation level was not such that it would provide a credible |
| exposure opportunity for a member of the public. |
| |
| "After on-loading the subject source drum, the truck made eight more stops |
| throughout the mid-west (i.e., OH, MI, IL, IN) over a period of 7 days, with |
| each stop ranging in duration between approximately � hour and 4 hours per |
| stop. Interviews with the driver indicate that each stop was in an |
| industrial location with no notable personnel activity (i.e., occupancy) |
| around the truck. The driver also noted that he makes a conscious effort to |
| park away from others when making nightly stops. Therefore, he did not note |
| any personnel activity around his truck that could have led to a credible |
| exposure opportunity for a member of the public. |
| |
| "Safety Significance: |
| |
| "There is no plausible scenario in which a member of the public was |
| over-exposed due to this event, The driver, who was the maximally exposed |
| individual, was issued DOSIMETRY of record at the time of the event. His |
| record dose will be evaluated upon the subject TLD being processed. |
| |
| "Cause: |
| |
| "The most plausible cause for the event was that the driver made a human |
| performance error while reading his survey meter. Contributing causes to |
| this error were: (1) the infrequency with which the driver works with |
| material involving higher radiation levels and (2) the infrequency with |
| which the driver's radiological skills training is reinforced. |
| |
| "Corrective Actions: |
| |
| "The source drum was properly handled upon receipt at the NMMC. |
| |
| "The driver's radiological skills were upgraded through training. |
| |
| "The driver will receive periodic radiological skills evaluations as needed |
| to maintain the adequate level of proficiency. |
| |
| "Safety Significance: |
| |
| "There is no plausible scenario in which a member of the public was |
| over-exposed due to this event. The driver, who was the maximally exposed |
| individual, was issued dosimetry of record. His record dose will be |
| evaluated upon the subject TLD being processed." |
| |
| (Call the NRC operations officer for contact telephone numbers.) |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|General Information or Other |Event Number: 36082 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| REP ORG: INOVISION |NOTIFICATION DATE: 08/27/1999|
|LICENSEE: AMPHENOL |NOTIFICATION TIME: 16:58[EDT]|
| CITY: CLEVELAND REGION: 3 |EVENT DATE: 08/27/1999|
| COUNTY: STATE: OH |EVENT TIME: [EDT]|
|LICENSE#: AGREEMENT: N |LAST UPDATE DATE: 08/27/1999|
| DOCKET: |+----------------------------+
| |PERSON ORGANIZATION |
| |MELVYN LEACH R3 |
| |KATHLEEN MODES R1 |
+------------------------------------------------+SCOTT SPARKS R2 |
| NRC NOTIFIED BY: JANICE BROWNLEE/FAX |CHARLES CAIN R4 |
| HQ OPS OFFICER: STEVE SANDIN |VERN HODGE (FAX) NRR |
+------------------------------------------------+ |
|EMERGENCY CLASS: N/A | |
|10 CFR SECTION: | |
|CCCC 21.21 UNSPECIFIED PARAGRAPH | |
| | |
| | |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| PART 21 NOTIFICATION INVOLVING UNACCEPTABLE RETENTION CAPABILITY FOR BNC |
| CONNECTORS |
| |
| "In accordance with the requirements for basic components regulated by the |
| Nuclear Regulatory Commission, as specified in 10 CFR 21.21, I am providing |
| this notification. In June 1999, the reliability engineer with the 'systems |
| group' department of our company sent me a memo that suggested we might have |
| accepted an unacceptable part for the 30-4 connector, which is a regulated |
| component. He had connected an AMP BNC connector to a cable to determine |
| its equivalency to the other qualified part from Amphenol p/n 31-2. He |
| found that when the wires were combed out as directed on the instructions |
| that came with the AMP connector, it did not appear to perform correctly |
| with respect to cable retention, and [he] asked if someone in QA could |
| verify his preliminary testing. |
| |
| "Subsequently, our Quality Manager examined the connector and obtained |
| instructions from the manufacturer that said the wires should be left |
| braided, not combed out, and that if you left it braided, a stronger grip |
| was achieved. The reliability engineer tried the braided connection and did |
| find that the retention was improved. However, in investigating the matter |
| further with the manufacturer, it was found that the manufacturer did have |
| conflicting instructions but said the drawing specifying a braided |
| connection should be considered the official one since it was a controlled |
| document. It was also found that the part from AMP was not the originally |
| qualified part number - 221552-1. AMP had obsoleted that part in 1992 and |
| substituted the 221265-0 in its place. The new part, however, did not carry |
| a military specification for shock (MIL-Std. 202) and was not military type |
| UG-88 like the previous one - conditions which provided assurance that it |
| met certain criteria needed for Seismic Class 1 rating. This information |
| was presented at the company's Quality Review Meeting on August 12, 1999. A |
| technical evaluation was conducted and reported in an abstract for the 30-4 |
| BNC Connector by the reliability engineer on August 26, 1999. |
| |
| "The connectors for part 30-4 that were in stock were inspected, and it was |
| found that all of them were this incorrect AMP part number. The connectors |
| were subsequently put on hold by the Quality Manager, and correct connectors |
| have been ordered from Amphenol. |
| |
| "One hundred pieces of the incorrect part (AMP 1-221265) were received at |
| Victoreen (now a part of Inovision) in January 1997. A search has been |
| conducted to identify those parts, assemblies, and kits which list part 30-4 |
| as part of their bill of material. From those, a review will be done to |
| identify those that have been produced since the receipt of the incorrect |
| part and, therefore, have the potential for being incorrect. The customers |
| who have received the identified products will be sent a notification within |
| 30 days. If acceptable replacement parts can be obtained with that time |
| frame, they will be sent with the notification. |
| |
| "A notification was sent to the Plant Manager/Senior Executive and to the |
| Chief Operating Officer of Inovision on August 26, 1999. The Plant Manager |
| has authorized me to submit this report by facsimile to the NRC Operations |
| Center. A written report containing the information specified at 10 CFR |
| 21.21(d)(4) will be submitted to the NRC within 30 days." |
| |
| (Call the NRC operations officer for contact telephone numbers.) |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36083 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: PEACH BOTTOM REGION: 1 |NOTIFICATION DATE: 08/29/1999|
| UNIT: [2] [3] [] STATE: PA |NOTIFICATION TIME: 16:00[EDT]|
| RXTYPE: [2] GE-4,[3] GE-4 |EVENT DATE: 08/29/1999|
+------------------------------------------------+EVENT TIME: 14:14[EDT]|
| NRC NOTIFIED BY: PHIL PAUTLER |LAST UPDATE DATE: 08/29/1999|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |KATHLEEN MODES R1 |
|10 CFR SECTION: | |
|AARC 50.72(b)(1)(v) OTHER ASMT/COMM INOP | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2 N Y 100 Power Operation |100 Power Operation |
|3 N Y 90 Power Operation |90 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| LOSS OF EMERGENCY ASSESSMENT CAPABILITY DUE TO A LOSS OF POWER TO THE |
| TECHNICAL SUPPORT CENTER (TSC) |
| |
| "A LOSS OF EMERGENCY ASSESSMENT CAPABILITY HAS OCCURRED DUE TO A LOSS OF |
| POWER TO PBAPS [PEACH BOTTOM ATOMIC POWER STATION] TECHNICAL SUPPORT CENTER. |
| POWER LOSS WAS CAUSED BY A FAULT ON LOCAL POWER DISTRIBUTION LINE (351 |
| LINE). POWER RESTORATION EFFORTS ARE IN PROGRESS BY POWER SYSTEM DIRECTOR. |
| THERE IS NO EMERGENCY CLASSIFICATION" |
| |
| THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. |
| |
| * * * UPDATE AT 2317EDT ON 8/29/99 FROM SCOTT PABIS TO S. SANDIN * * * |
| |
| POWER WAS RESTORED TO THE TSC AS OF 2300EDT. |
| |
| THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. THE NRC OPERATIONS |
| OFFICER NOTIFIED THE R1DO (MODES). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36084 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRUNSWICK REGION: 2 |NOTIFICATION DATE: 08/29/1999|
| UNIT: [1] [2] [] STATE: NC |NOTIFICATION TIME: 17:50[EDT]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 08/29/1999|
+------------------------------------------------+EVENT TIME: 17:10[EDT]|
| NRC NOTIFIED BY: DAVE JESTER |LAST UPDATE DATE: 08/29/1999|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: UNU |SCOTT SPARKS R2 |
|10 CFR SECTION: |JACK STROSNIDER NRR |
|AAEC 50.72 (a) (1) (I) EMERGENCY DECLARED |FRANK CONGEL IRO |
| |DAN SULLIVAN FEMA |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N Y 100 Power Operation |100 Power Operation |
|2 N Y 100 Power Operation |100 Power Operation |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| LICENSEE DECLARED AN UNUSUAL EVENT DUE TO THE NATIONAL WEATHER SERVICE |
| ISSUING A HURRICANE WARNING FOR THE AREA. (Refer to event numbers 36086 |
| and 36087 for related events.) |
| |
| "BRUNSWICK NUCLEAR PLANT HAS DECLARED AN UNUSUAL EVENT DUE TO THE ISSUANCE |
| OF A HURRICANE WARNING FOR THE AREA. PREPARATIONS ARE CURRENTLY UNDERWAY TO |
| SUPPORT HAVING BOTH UNITS IN COLD SHUTDOWN TWO HOURS PRIOR TO HURRICANE |
| WINDS BEING ON-SITE." |
| |
| THE LICENSEE INFORMED THE NRC RESIDENT INSPECTOR. |
| |
| *** UPDATE ON 8/30/99 @ 0028 FROM JACOBS TO GOULD *** |
| |
| UNIT 1 ENTERED HOT SHUTDOWN AT 2352 ON 8/29/99, AND UNIT 2 ENTERED HOT |
| SHUTDOWN AT 2346 ON 8/29/99. BOTH UNITS WILL BE TAKEN TO COLD SHUTDOWN. |
| |
| THE NRC RESIDENT INSPECTOR WAS NOTIFIED BY THE LICENSEE. THE NRC OPERATIONS |
| OFFICER NOTIFIED THE R2DO (SPARKS), R2 IRC (HUFHAM), AND IRO (CONGEL). |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36085 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: INDIAN POINT REGION: 1 |NOTIFICATION DATE: 08/29/1999|
| UNIT: [2] [] [] STATE: NY |NOTIFICATION TIME: 21:00[EDT]|
| RXTYPE: [2] W-4-LP,[3] W-4-LP |EVENT DATE: 08/29/1999|
+------------------------------------------------+EVENT TIME: 21:00[EDT]|
| NRC NOTIFIED BY: JIM BALLETTA |LAST UPDATE DATE: 08/29/1999|
| HQ OPS OFFICER: STEVE SANDIN +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |KATHLEEN MODES R1 |
|10 CFR SECTION: |JACK STROSNIDER NRR |
|AEXT 50.72(b)(1)(iii) EXTERNAL THREAT | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|2 N Y 100 Power Operation |100 Power Operation |
| | |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| 1-HOUR REPORT REQUIRED BY TECHNICAL SPECIFICATION FOR HURRICANE FORCE WINDS |
| WITHIN 500 NAUTICAL MILES OF THE SITE |
| |
| THE NATIONAL WEATHER SERVICE HAS ISSUED A HURRICANE WARNING FOR HURRICANE |
| DENNIS. THE LICENSEE IS MAKING THIS NOTIFICATION BASED ON A TECH SPEC |
| 3.14.a REQUIREMENT BECAUSE HURRICANE FORCE WINDS EXCEEDING 87 KNOTS (100 |
| MPH) ARE WITHIN 500 NAUTICAL MILES OF THE SITE. |
| |
| THE LICENSEE PLANS TO INFORM THE NRC RESIDENT INSPECTOR. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36086 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRUNSWICK REGION: 2 |NOTIFICATION DATE: 08/30/1999|
| UNIT: [1] [2] [] STATE: NC |NOTIFICATION TIME: 00:30[EDT]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 08/29/1999|
+------------------------------------------------+EVENT TIME: 23:39[EDT]|
| NRC NOTIFIED BY: WILLIAMS |LAST UPDATE DATE: 08/30/1999|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |SCOTT SPARKS R2 |
|10 CFR SECTION: | |
|AESS 50.72(b)(1)(v) EMERGENCY SIREN INOP | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Hot Shutdown |0 Hot Shutdown |
|2 N N 0 Hot Shutdown |0 Hot Shutdown |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| EMERGENCY SIRENS INOPERABLE (Refer to event numbers 36084 and 36087 for |
| related events.) |
| |
| |
| THE LICENSEE REPORTED THAT ALL (FIVE) OF THEIR EMERGENCY SIRENS IN NEW |
| HANFORD COUNTY ARE INOPERABLE. ALSO, TWO SIRENS IN BRUNSWICK COUNTY ARE |
| INOPERABLE. THE PROBLEM IS BEING INVESTIGATED. |
| |
| THE NRC RESIDENT INSPECTOR WAS NOTIFIED BY THE LICENSEE. |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
|Power Reactor |Event Number: 36087 |
+------------------------------------------------------------------------------+
+------------------------------------------------------------------------------+
| FACILITY: BRUNSWICK REGION: 2 |NOTIFICATION DATE: 08/30/1999|
| UNIT: [1] [2] [] STATE: NC |NOTIFICATION TIME: 03:50[EDT]|
| RXTYPE: [1] GE-4,[2] GE-4 |EVENT DATE: 08/30/1999|
+------------------------------------------------+EVENT TIME: 02:35[EDT]|
| NRC NOTIFIED BY: JENKINS |LAST UPDATE DATE: 08/30/1999|
| HQ OPS OFFICER: CHAUNCEY GOULD +-----------------------------+
+------------------------------------------------+PERSON ORGANIZATION |
|EMERGENCY CLASS: N/A |SCOTT SPARKS R2 |
|10 CFR SECTION: | |
|APRE 50.72(b)(2)(vi) OFFSITE NOTIFICATION | |
| | |
| | |
| | |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE |
+-----+----------+-------+--------+-----------------+--------+-----------------+
|1 N N 0 Hot Shutdown |0 Hot Shutdown |
|2 N N 0 Hot Shutdown |0 Hot Shutdown |
| | |
+------------------------------------------------------------------------------+
EVENT TEXT
+------------------------------------------------------------------------------+
| THE LICENSEE PLANS TO NOTIFY THE STATE OF NORTH CAROLINA THAT THEY MAY HAVE |
| VIOLATED THEIR NPDES (NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM) |
| PERMIT. (Refer to event numbers 36084 and 36086 for related events.) |
| |
| PLANT OPERATORS OPENED THE SITE STORM DRAIN COLLECTOR BASIN DISCHARGE VALVES |
| TO THE CIRCULATING WATER DISCHARGE CANAL. THESE VALVES BYPASS THE NORMAL |
| PATH TO THE STABILIZATION POND AND CONSTITUTE A POTENTIAL UNMONITORED |
| RADIOACTIVE LIQUID RELEASE. THESE VALVES WERE OPENED DUE TO THE EXCESSIVE |
| RAIN ASSOCIATED WITH HURRICANE DENNIS, AND THEY WILL BE CLOSED WHEN THE RAIN |
| SUBSIDES. THIS CONDITION REQUIRES THE LICENSEE TO NOTIFY THE STATE BECAUSE |
| OF THEIR NPDES PERMIT. |
| |
| THE NRC RESIDENT INSPECTOR WAS NOTIFIED BY THE LICENSEE. |
+------------------------------------------------------------------------------+
Page Last Reviewed/Updated Thursday, March 25, 2021